Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.19 / $0.27 / $0.30	Facility		$0.19	$0.27	$0.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.26 / $0.32	Professional		$0.15	$0.26	$0.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.50 / $1.50 / $1.50	Professional		$1.50	$1.50	$1.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.25 / $0.25 / $0.25	Professional		$0.25	$0.25	$0.25
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $0.26 / $0.28 / $0.33	Facility		$0.26	$0.28	$0.33
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $0.33 / $0.35 / $0.37	Professional		$0.33	$0.35	$0.37
Christus Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $42.00 / $42.00	Facility		$42.00	$42.00	$42.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.68 / $0.68 / $85.00	Facility		$0.68	$0.68	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.57 / $0.57 / $0.57	Professional		$0.57	$0.57	$0.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $126.17 / $126.17	Facility		$75.00	$126.17	$126.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $3.54 / $3.68	Professional		$1.40	$3.54	$3.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.26 / $0.41 / $0.59	Facility		$0.26	$0.41	$0.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.31 / $0.31	Professional		$0.26	$0.31	$0.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.40 / $11.40	Professional		$10.00	$11.40	$11.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.27 / $0.41 / $0.59	Facility		$0.27	$0.41	$0.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.39 / $0.57 / $0.57	Professional		$0.39	$0.57	$0.57
United Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.22 / $0.38	Professional		$0.18	$0.22	$0.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.37 / $0.50	Professional		$0.15	$0.37	$0.50